Epsilon Tau Spring 2019 Formal

Gatlinburg, Tennessee

For those who have signed up for formal, this will be the active fund for it until the final payment is to be paid in March.

Legal First Name:

Legal Last Name:

Email Address

Phone number

A payment receipt will be sent to the email address listed above for payments made via credit or debit card upon transaction authorization.

Card Type

Card Number

Name on Card

Card Expiration

CVV2:

Credit Card Billing Zip Code

Amount

Formal Money

Comments:

If you have questions, please contact:

Blake White

bwhite32@murraystate.edu

(618) 779 - 4583